News and Developments
The bi-annual DD event took place this month. We were lucky to have Mike Linnell, from Linnel Productions, come to deliver a presentation on the Psychoactive Substances Act. There were also presentations from the Zip Group, WY-FI, an update on Crisis and Urgent Care and members of The Space Recovery Roadshow shared their recovery stories. You can download the slides from the event here. For more info on future events contact Karen Pearse on Karen.firstname.lastname@example.org
Forward Leeds Early Intervention and Prevention team led this month’s Dual Diagnosis Practice Development session on Synthetic Cannabinoids. You can download the slides here.
This month’s Dual Diagnosis Practice Development Session was on “Think Family – Work Family”. You can download the slides here:
The Dual Diagnosis Strategy Group took place this month with 3 experts by experience sitting round the table. The 2016/17 Dual Diagnosis Work Plan has been developed building on the work to date. If you want a copy of the plan contact Karen Pearse: Karen.email@example.com
Leeds Mind recruited a new Dual Diagnosis Development worker to scope, review and develop dual diagnosis peer support across Leeds.
The Dual Diagnosis Project Manager delivered a presentation on dual diagnosis best practice at a Homeless Link event in Leeds this month.
Christian Walsh, AMP Lead, delivered an excellent Practice Development Session to the Dual Diagnosis Network on the Mental Health Act. You can download the slides here.
The Dual Diagnosis Project Manager presented to 2 more cohorts on the level 2 Dual Diagnosis training.
Forward Leeds have developed their own dual diagnosis work plan which will be monitored by the Forward Leeds Dual Diagnosis Strategic Group. For more information contact Karen Pearse: Karen.firstname.lastname@example.org
LYPFT community dual diagnosis leads met this month to review the DD lead role, looking at how it can be developed and supported within services. Another meeting is planned for May.
The Primary Care Mental Health Working Group met to review the Common Mental Health Problems Best Practice Joint Work Protocol. The protocol ensures people who use substances and also have mild to moderate mental health difficulties are able to get evidence based treatment. A programme of training will follow to ensure all staff are able to follow the protocol.
Work is underway to formalise the already robust partnership between LYPFT’s AOT and St Anne’s Community Services. A full time paid member of staff is to be employed working within both organisations with a dual diagnosis remit.
The Dual Diagnosis Project Manager delivered a presentation for the level 2 DD training, providing info on the Leeds Dual Diagnosis Project.
The Leeds Dual Diagnosis Project, in partnership with Leeds North CCG, ran a summit on the Impact of Substance Use on Services in Leeds. It was a well attended and lively morning with presentations from Leeds and York Partnership Foundation Trust, HMP Leeds and Community Links. Following on from a workshop, the next steps will be taken away and developed by the Dual Diagnosis Project Manager.
Darren Hill and Divine Charura delivered this month’s Practice Development Session, looking at the Psychosocial Perspective of Dual Diagnosis.
Dates have been set for the level 2 DD training. For more information and to download an application form, click here.
Leeds’s response to Dual Diagnosis was mentioned in the Guardian today as an example of good practice. To view the article click here.
Another successful Dual Diagnosis event was held with over 70 people attending. Colin Tyrie delivered an excellent presentation on Novel Psychoactive Substances and there were local updates from Rehab and Recovery, North Leeds CCG Mental Health Framework Team, Crisis Assessment Service and Forward Leeds. The Zip Group facilitated a workshop around stigma and have begun to develop an anti-stigma statement for Leeds. Watch this space!
The Leeds Domestic Violence Team delivered this month’s Practice Development Session. Access the slides here.
Emma Smyllie from the Disabilities Trust Foundation delivered an excellent presentation at the October Dual Diagnosis Practice Development Session on Brain Injuries. You can access her presentation here.
The Dual Diagnosis Strategy Group met this month.
A harm reduction worker from Forward Leeds will be working with LYPFT’s Assertive Outreach Team for one day a week, beginning this month.
The final task and finish group was held to review Peer Support in Leeds. A number of options were considered including exploring commissioning options to fund a dual diagnosis peer support group. The work sits alongside Leeds Mind’s work to develop a Peer Support Hub in the city
The Leeds Dual Diagnosis Project developed a newsletter in partnership with Leeds North Clinical Commissioning Group, providing an update following the last local Dual Diagnosis Event. You can download the newsletter here.
Forward Leeds was launched this month, a new integrated drug and alcohol service for Leeds made up of a consortium of services including St Anne’s Community Services, St Martin’s Healthcare Services, BARCA, DISC and Leeds and York Partnership Foundation Trust. To refer into the service or for more information call the Single Point Of Contact on 0113 8872477 or visit http://www.forwardleeds.co.uk
Karen Pearse, The Dual Diagnosis Project Manager, delivered a presentation at the Yorkshire Approved Mental Health Practitioner conference in Huddersfield, about the Leeds Dual Diagnosis Project.
The Northern and North West Dual Diagnosis Working Group meeting took place this month with representatives from Manchester, Grimsby, Doncaster, Bolton, Tees, Esk and Wear and Leeds. If you are interested in joining the group please contact Karen Pearse at Karen.email@example.com
Dr Ryhs Jones from Yorkshire Centre for Eating Disorders presented at this month’s DD Practice Development Session. See the presentation here.
Leeds Gypsy and Traveller Exchange delivered this month DD Practice Development Session on Gypsy and Traveller Health. Download the slides here.
A task and finish group has been established to review peer support in the city. Their remit is to review what peer support is currently available (substance use, mental health and dual diagnosis), identify gaps and/or duplications and develop an options appraisal to ensure there is adequate provision.
The first of this year’s Dual Diagnosis Events took place this month. Maureen Rakshi from Manchester Mental Health and Social Care Trust delivered an excellent presentation on Substance Use in Older Adults, there were a number of local updates and Leeds North Clinical Commissioning Group facilitated a workshop looking at how dual diagnosis fits into the different elements of the Leeds Mental Health Framework. To access all the presentation slides and for more information click here.
A pilot review meeting between the Crisis Assessment Service and St Anne’s Harm Reduction took place this month. The harm reduction workers are very busy and are seen as a valuable resource to then CAS team.
Alex Whincup, Drug Liason Midwife at Leeds Addiction Unit, delivered this months Practice Development Session on Foetal Alcohol Spectrum Disorder. Click here to access the slides.
Planning is underway for the next Dual Diagnosis Event, which will take place on 13th May, 9am – 1pm at St Chads Parish Centre. Local and national updates, a guest speaker and workshop will take place at the event. For more information get in touch: Karen.firstname.lastname@example.org
This month’s Practice Development Session was on Autism and Asperger’s and was delivered by Dr Connor Davidson from LYPFT. Session slides can be accessed here.
The quarterly DD Strategy Group took place this month where the Leeds Dual Diagnosis Capability Framework was signed off. Now we commission a provider to deliver the citywide level 2 DD training. You can view the Leeds Capability Framework here.
The Dual Diagnosis Project 2015/16 plan has been produced. The plan has 5 main priorities: strategic, operational, training, service user involvement and peer support.
The Dual Diagnosis Project is now on Twitter. Follow us: @LeedsDDproject
Matthew Gaskell from Leeds Addiction Unit delivered this month’s Practice Development Session to the DD network on Anxiety and Dual Diagnosis.
The pilot joint work partnership between the Crisis Assessment Service (CAS) and the Harm Reduction Service has now gone live and harm reduction workers will be following up people assessed by CAS who have substance misuse issues.
Karen Pearse is back in post after returning from maternity leave. Thank you very much to Richard Bell for looking after the Dual Diagnosis Project while she was away.
The first cohort of level 2 Dual Diagnosis training was delivered this month, funded by North West CCG and delivered by Leeds Addiction Unit. There will be 90 funded places available this financial year.
A meeting took place to review the pilot between the Harm Reduction Service and Ward 4 Newsam Centre. The hard reduction workers are now working on the ward providing information and brief interventions to patients and training to staff.
The Leeds DD Project held its bi-annual network event on Wednesday 19th November 2014. The event featured presentations from mental health commissioning on the new mental health framework being developed for Leeds, Dr Elizabeth Hughes explained the Leeds Dual Diagnosis Capability Framework, Leeds Social Justice Team, BSL Sign Health and ZIP (formerly the Dual Diagnosis Experts Reference Group). To download a copy of the presentations delivered at the event click here.
The Leeds DD Project is working in partnership with the Crisis Assessment Service (CAS) from Leeds + York Partnership Foundation Trust and the City Wide Harm Reduction Team to develop a 1 year pilot project. The aim of the joint working partnership is to enable CAS to better meet the needs of people with dual diagnosis by engaging service users in drug/alcohol services, supporting service users to reduce there substance use, increase mental well-being and reduce re-attendance at CAS and/or urgent care services.
This month’s practice development session was delivered by Matthew Gaskell from Leeds Addiction Unit and focused on PTSD. Click here to download a copy of the slides.
Dr Liz Hughes facilitated the second of 2 focus groups with lead practitioners from the Leeds DD Network to inform the development of a Leeds specific DD Capability Framework. Following the focus group held in September 2014 Dr Liz Hughes drafted a new capability framework and presented it for feedback. Feedback from the session will be used to further refine and improve the framework before it is present to the Leeds DD Strategy Group in November 2014.
This month’s practice development session was delivered by Leeds Addiction Unit and focused on drug interactions. Click here to download a copy of the slides.
This months practiced development session was delivered by Charlie Place form York Street Practice and focused on Alcohol Related Brain damage. This is a relatively new term that has begun to be used in practice and the literature to describe cognitive impairment related to alcohol use. It is currently under researched and there is a gap in provision in many areas. Click here to download a copy of the slides.
Dr Liz Hughes facilitated the first of 2 focus groups with lead practitioners from the Leeds DD Network to inform the development of a Leeds specific DD Capability Framework. The focus group reviewed ‘Closing the Gap: A capability framework for working effectively with people with combined mental health and substance use problems (Dual Diagnosis)’ (Hughes 2006) to explore how it could be developed and improved.
The Leeds DD Project has developed a joint working pilot project between the City Wide Harm Reduction Team and male inpatient mental health ward at Leeds + York Partnership Foundation Trust. The pilot aims to address the needs of pre-contemplative substance users admitted to the inpatient ward. In 2013-14 Leeds + York Partnership Foundation Trust, Leeds Adult Social Care and Community Links undertook a combined review exploring the aspirations, needs and capacities of a group of service users currently within the pathway from in-patient or residential mental health support to community based support from a multi-agency perspective. The review highlighted a small number of predominantly young males who were pre-contemplative substances users that where revolving door patients. These service users’ pre-contemplative attitude towards substance use was identified as a significant factor leading to re-admission to inpatients wards. Furthermore due to the pre-contemplative nature of their substance use inpatients wards struggled to support them effectively and refer them on to community services as part of their care and discharge planning.
The final focus group for the evaluation of future DD needs in Leeds took place with members of the Leeds Accommodation Gateway.
Dr Liz Hughes facilitated a focus group with ZIP (formerly the DD Expert Reference Group) to find out the attitudes, values, and skills staff need to effectively support people with dual diagnosis. The information gathered will be used to inform the development of a Leeds specific DD Competency Framework. Click here for a summary of the meeting.
The third focus group for the evaluation of future DD needs in Leeds took place on 16th July with members of the Leeds DD Working Group which comprises of operational and services managers from DD Network member services.
Aspire the early interventions in psychosis service in Leeds delivered this months practice development sessions which focussed on hearing voices. Click here to download a copy of the slides.
A key action for the Leeds DD Project in 2014 is to ensure Leeds has a robust DD strategic plan for the future. To support the achievement of this objective the DD Project manager has been requested to undertake an evaluation of future DD needs in Leeds from the perspective of all parties engaged in the Leeds DD Network. This will include 4 focus groups to identify –
- What is currently working well and why? (i.e. who’s DD needs are being met)
- What is currently not working and why? (i.e. who’s DD needs aren’t being met)
- What are the solutions to the key gaps/barriers identified + what role could the DD Network play in the future?
- How can the disconnection between service users, practitioners, services + commissioners be overcome?
The first focus group took place on Friday 6th June with DD lead practitioners from the Leeds DD Network.
The DD Experts Reference Group held there first conference on Wednesday 18th June 2014 which attracted over 40 people who had personal experience of dual diagnosis.
The event included a range of events and sessions including a ‘Poetry and Journey Session’, Art Wall, discussions on the usefulness of the term dual diagnosis and focus group on the themes being explored in the evaluation of future DD needs in Leeds. Click here to see a summary of the event.
A key action for the Leeds DD Project in 2014 is to develop a Leeds specific DD Competency Framework identifying competency based skills required by different services inline with national policy guidance and current best practice. When completed this will be signed up to by the Leeds Dual Diagnosis Strategy Group and linked to a rolling programme of training. The DD Project has commissioned Dr Liz Hughes to undertake this piece of work and aims to build on the ‘Closing the Gap: A capability framework for working effectively with people with combined mental health and substance use problems (Dual Diagnosis)’ (Hughes 2006).
Scott Gledhill from Skyline delivered this month’s practice development which focused on HIV, click here to download a copy of the slides.
The Dual Diagnosis Project hosted its bi-annual event which was attended by over 50 people engaged in the DD network including commissioners, service users, service/operational managers and frontline practitioners. To download a copy of the presentations delivered at the event click on the link below.
The practice development session in April focused on legal highs and was delivered by Laura Gow from Leeds Addiction Unit, click here to download a copy of the slides.
The Leeds Dual Diagnosis Experts Reference Group is well underway in planning there conference, this is an event run by and for people with experience of co-existing mental health and substance use. The event will include information sessions, workshops, music, poetry and much more, click here for more info. Members of the DD Experts Reference Group will be gathering the views of service users to identify what they think is working well, where the gaps are in current provision and what the potential solutions may be. This will be written up by the group into a report and include in the evaluation of future dual diagnosis needs in Leeds being undertaken by the DD Project.
The Leeds Dual Diagnosis Project will be holding its bi-annual network event on 23rd April 9am – 1pm at St Chad’s Parish Centre, Headingley, Leeds, LS16 5JT. The event is open to all DD Network members and people involved in the DD Project, the event will include presentations from senior commissioners, the DD Experts Reference Group, the WY-FI project, Touchstone Community Support Team and a focus group facilitated by Dr Liz Hughes.
A key action for the Leeds DD Project in 2014 will be to identify the priorities of future commissioning which will involve undertaking an evaluation of future DD needs from the perspective of all parties engaged in the DD network. Throughout the year the DD Project plans to facilitate a variety of focus groups in collaboration with the Leeds DD Expert Reference Group to gather the views of service users, carers, practitioners, managers and commissioners.
The Leeds DD Expert Reference Group is currently in the process of planning a high profile DD service user Conference which they intend to hold in June 2014. The event aims to raise the profile of the group, provide an opportunity for the members to consult other experts by experience and use their feedback to inform the Future DD Needs consultation being undertaken by the DD project in 2014, and also provide an opportunity to provide and promote the value of peer support.
To celebrate LGBT history month Februarys DD practice development session focused on LGBT and dual diagnosis. The session provided the opportunity to raise awareness on good practice and how to make services accessible to the LGBT community. Click here to download a copy of the slides.
Over the past few months the Leeds DD project has been actively working with its network members to improve access to services for people from the LGBT community by promoting good working practice. The project recently joined the Leeds LGBT Mental Health Partnership which aims to promote recovery and wellbeing for LGBT people in Leeds and improve services and support in the city. A recent update was to explicitly include people with a dual diagnosis (co-existing drug and/or alcohol use and mental health problems).
An exciting new partnership in Leeds is in the process of being set up and piloted between the Citywide Harm Reduction Service and Yorkshire MESMAC supported by the DD project. The aim of the partnership is to address substance misuse issues amongst men who have sex with men, providing harm reduction advice, information about drugs and their associated risks, needle exchange and onward referral where appropriate. The two teams are currently undergoing reciprocal training and developing promotional materials, with a view to beginning sessions in March.
The sessions will run at a Yorkshire MESMAC drop-in (60 Upper Basinghall Street, Leeds LS1 5HR), the first Saturday of the month, from 1st March, 12noon – 4pm. For more information contact Pat McCusker at Yorkshire MESMAC on email@example.com or Danielle Cormack at Harm Reduction on Danielle.Cormack@st-annes.org.uk
Leeds Adult Social Care Mental Health and Leeds + Yorkshire Foundation Partnership have recently undertaken a joint piece of work to look at the challenges of supporting people with complex needs. It was identified that this group consisted predominantly of a small number of young males with mental health and substance use problems who often ended up being admitted to hospital on a number of occasions. The cross-sector group sought the perspective of the Leeds DD Expert Reference Group to seek advice about alternative ways of working to meet this groups needs. Themes identified included need to seize upon ‘spikes in motivation’ to address issues, even if this means just planting seeds of contemplation, cultural barriers between professionals and service users, the value of ‘speaking people’s language’ and the value of peer supporters/mentors.
The Citywide Harm Reduction Service presented at the September Dual Diagnosis Practice Development Session. Click here download a copy of the slides.
Strategic leads met in Leeds for The Northern And North West Dual Diagnosis Group, with representatives from Leeds, York, Doncaster and Tees and Esk. Discussions took place around NHSLA auditing, strategy development, service user involvement, DD research and alcohol related brain damage. For more information or if you are interested in joining the group please contact Karen Pearse firstname.lastname@example.org
The final cohort of Level 2 Dual Diagnosis Training, delivered in partnership between Leeds Dual Diagnosis Project and Leeds Addiction Unit took place this month. Initial evaluations of the course have been extremely positive.
The Dual Diagnosis Expert Reference Group continues to meet monthly. Along with developing a poster and flyer highlighting the link between substance misuse and mental health, they have been involved in various consultations regarding policy and strategy development. They are currently developing a proposal to put to services aimed at giving service users the opportunity to informally comment/complement/complain. New members are always welcome. The group meet the first Friday of the month at The Space on Great George Street. For more information please contact Joe Alderdice on 2374508 or email email@example.com
The Dual Diagnosis network continues to expand. St George’s Crypt and Leeds Personality Disorder Clinical Network are now represented.
Lesley White from Carers Leeds delivered a session on “Concerned Others Of Adults Who Use Drugs” at the July Practice Development Session. You can download the slides here.
The Expert Reference Group have developed a flyer to be given out in needle packs, encouraging service users to think about the link between thier substance misuse and thier mental health. The flyers have been funded by St Anne’s Community Services. The City Wide Harm Reduction Service launched a pilot flyer drop for a month in July in two city centre needle exchanges. You can view the flyer here. Also see a report in the Yorkshire Evening Post here.
Colleagues from Crime Reduction Initiative and Probation delivered this month’s Practice Development session entitled “Offender Services and Dual Diagnosis”. You can download the slides here.
The Common Mental Health Problems Best Practice Joint Work Protocol has been signed off this month, after a thorough and considered consultation with various stakeholders, providers and service users. You can download the protocol here. The protocol should ensure that service users with common mental health problems, who also use substances, receive appropriate treatment at the right place and the right time.
The Dual Diagnosis Project Manager facilitated a workshop session at the Volition Marketplace.
The Dual Diagnosis Project organised a consultation event in partnership with HMP Leeds, consulting with community providers on the dual diagnosis pathways that HMP Leeds is currently developing. Attendees represented Adult Social Care, NHS services and voluntary sector agencies.
Colleagues from HMP Leeds presented “Dual Diagnosis In Prisons” at the May Dual Diagnosis Practice Development Session. Download the session slides here. They are currently developing a dual diagnosis pathway and will be holding a consultation event in partnership with the Dual Diagnosis Project in June.
The Care Pathway Evaluation is complete. A meeting has been arranged between relevant stakeholders in July to discuss the findings and next steps.
Leeds has been citied as an area of good practice, working when with homeless people with mental health and substance misuse problems, by HomelessLink. Visit the website to see the case study here.
The Expert Reference Group continue to meet monthly. Some members have volunteered to be on a research team looking at the link between traumatic injury and dual diagnosis. The flyer they have been developing to be given out with injecting paraphernalia is now complete. The group will be meeting with the manager of the Harm Reduction Service next month to look at how to move this forward. You can download the flyer here.
Dr John Roache, from Leeds Addiction Unit delivered a presentation on Legal Highs at the Practice Development Session. Download the session slides here.
The Common Mental Health Problems Joint Work Protocol is due to be reviewed. Consultations are taking place among relevant agencies and the protocol is set to be redrafted to provide a more integrated approach to working with clients with common mental health problems within Community Drug Treatment Services.
The Dual Diagnosis Project held another successful event. Guest speakers included Diane Gill, who provided an excellent overview of the benefit reforms and Jaime Delgadillo, who spoke about local research he is conducting around dual diagnosis. Click here for more information.
The Expert Reference Group presented at the February Dual Diagnosis Network Practice Development Session. The session focused on service users perspective of dual diagnosis treatment. It was an excellent session and extremely well received by network members.
Multiple Choice and ADS have now developed a care pathway for substance misusers with common mental health problems facilitated by the Dual Diagnosis Project. They will receive training in Guided Self Help next month to support the pathway.
Planning is underway for the next Dual Diagnosis Project Event which is to be held on Wednesday 20th March, at St Chads Parish Centre, Leeds, LS6 5JT. For more details contact Karen.firstname.lastname@example.org
Funding has been secured to deliver 3 cohorts of level 2 dual diagnosis training (Closing The Gap, Hughes, 2006) in partnership between the Leeds Dual Diagnosis Project and Leeds Addiction Unit. It will be a two day course introducing mental health, substance misuse, dual diagnosis, treatment models, assessment and screening and interventions. If you want more information contact Karen.email@example.com
Two members of the Dual Diagnosis Strategy Group attended the Expert Reference Group (ERG). It was agreed that that the ERG’s idea of developing a flyer for needle pack, highlighting the link between substance misuse and mental health, should go ahead and the Strategy Group agreed to fund the printing. The ERG will continue to work on the design.
Data analysis and interpretation has begun in the Care Pathway Evaluation. The full evaluation will be available publically on it’s completion.
Karen Pearse, Dual Diagnosis Project Manager is back in post following her maternity leave. Many thanks to Richard Bell for undertaking the role in the last 12 months. Please direct all communication to Karen from now on at Karen.firstname.lastname@example.org
The Care Pathway Evaluation has begun. The service manager of 59 services in Leeds has been invited to participate in the evaluation. 330 practitioners who work in the services represented in the Leeds Dual Diagnosis network have also been invited. Participation requires completing an online questionnaire.
The Expert Reference Group have developed a poster to highlight the connection in service users minds between their substance misuse and mental health. The poster in intended to be displayed in all services for service users to see, and it encourages them to talk about their substance use AND their mental health with their worker at that service. They are also hoping to develop a flyer to be given with needles highlighting the same message to injecting drug users. You can download the poster here.
Leeds Dual Diagnosis Project recently delivered presentations as an example of good practice in Leeds at the National Needle Exchange Conference and in Dublin at the Citywide Drugs Crisis Campaign: Multi-Agency Work with Clients who have a Dual Diagnosis. In addition, the project has contributed to a paper recently published in Advances in Dual Diagnosis focusing called “The importance of local and regional networks in supporting dual diagnosis in clinical practice”. The paper was produced in collaboration with Mark Holland and Liz Hughes, both members of the regional DD group facilitated by the project. Visit the link below to view the article – http://www.emeraldinsight.com/journals.htm?articleid=17063810
Following the piloting of two service evaluation questionnaires on a small number of network members in September 2012 the Dual Diagnosis Strategy Group has requested that a Care Pathway Evaluation is undertaken by the Dual Diagnosis Project using the process and learning from the pilot process. This will be undertaken over the next few months and the findings will be used to inform the DD Strategy Group; alongside information from the current sector reviews being undertaken. This will influence the development of a future dual diagnosis strategy; and continue to improve access to treatment for people with coexisting mental health and substance use.
The Dual Diagnosis Network held another successful network event on Wednesday 24th October which was attended by 72 people from a across the network. To download copies of the slides from the event click on the link below.
As part of the projects ongoing aim to improve access to treatment and outcomes for people who dual diagnosis the Dual Diagnosis Project delivered training sessions focused on the brief mental questionnaire screening tool used in Leeds to criminal justice services and Multiple Choice.
Planning for next Dual Diagnosis Network Event is underway; this will be held on Wednesday 24th October 9-1pm at St Chad’s Parish Centre, Headingley, Leeds, LS16 5JT. The event will include guest speaker Christian GuestDual Diagnosis Lead at Rotherham from Doncaster and South Humber NHS Foundation Trust. There will also be an update from the DD project and presentations from the Dual Diagnosis Expert Reference Group, Carers services in Leeds, LYPFT inpatients and a focus group exploring peer support. The event it open to all network partners, service users and interested parties. If you would like to attend please get in contact with Richard Bell by email email@example.com or phone – 0113 2816914.
The Dual Diagnosis Project is currently piloting 2 service evaluation questionnaires on a small number of network members to see if the methodology will be feasible to be used by all network members in the future. The service evaluation aims to identify if it is possible to identify levels of dual diagnosis prevalence in network member service and to identify how services are currently supporting people with dual diagnosis. It is hoped the learning from the service evaluation will help identify themes to inform the future strategy and development of services.
To ensure the profile of dual diagnosis remains on the agendas of services the Dual Diagnosis Project regularly visits services to provide information sessions. This month with the support of members from the Dual Diagnosis Expert Reference Group the Dual Diagnosis Project delivered a presentation to St Martins Healthcare Service who currently hold the prescribing contract for community substance misuse service in Leeds.
Working in collaboration with Leeds Adult Social Care a number of mental health services have been identified who would benefit from involvement in the Dual Diagnosis Project. A lead practitioner from each of these services will now be engaging with the Dual Diagnosis Network and attending the monthly practice development sessions.
The Dual Diagnosis Experts Reference Group is continuing to gain momentum and at Julys meeting Jane Williams the commissioner of the Dual Diagnosis Project and Duncan Raistrick from Leeds Addiction Unit attended on behalf of the Dual Diagnosis Strategy Group. This provided the opportunity for the expert reference group and its members to outline their ideas of how to improve current provision for Dual Diagnosis acrossLeeds. Members of the strategy group have agreed to attend this meeting on a quarterly basis to ensure the work of the expert reference group feeds into future strategic development.
Over the past year a lot of work has been done in Leeds with network partners to improve access to IAPT and primary care services for people with drug and alcohol problems. In December the Common Mental Health Problems Joint Working Protocol was agreed identifying a pathway between Community Drug Treatment Services and IAPT/Primary Care Mental Health Services. To build on this pathway we are now supporting alcohol services to develop a similar pathway.
In addition the Dual Diagnosis Project has been supporting a research project being lead by Jamie Delgadillo exploring the feasibility and acceptability of brief psychological treatment for substance users with depression.
Visit http://www.controlled-trials.com/ISRCTN26937594 to find out more.
As part of the ongoing work to build links with carers services in Leeds the Dual Diagnosis project provided a presentation to the Willows Young Carers staff team. The service supports young carers aged 5-18 year old living in Leeds. http://www.barnardos.org.uk/willow.htm
The Dual Diagnosis Project has been working in collaboration with Citywide Harm Reduction Team to provide drug awareness training specifically aimed at voluntary sector organisations. Three sessions will be held in 2012. For more information visit the Dual Diagnosis training page http://www.dual-diagnosis.org.uk/?cat=8
Over the past few months the project has been building links with services for Carers in Leeds. As part of this joint working Richard Bell (Dual Diagnosis Project Manager) attended a Leeds Carers alcohol and substance support group to raise awareness of dual diagnosis and offer the opportunity for carers to discuss mental health issues. More information about Carers Leeds can be found at http://www.carersleeds.org.uk/
The Dual Diagnosis project delivered a presentation at the Primary Care Mental Health Day from prison services in Leeds. Services from HMP Leeds will be engaging with the network in the near future.
In collaboration with network partners from the working group and expert reference group we have been developing a case study framework. The aim of the case study framework is to provide an authentic evidence base of service user experience, highlight and share good practice, identify barriers to accessing treatment and services and to work collectively to identify potential solutions to issues identified. The learning from the process will be reported back to the strategy group to inform the future development of the dual diagnosis project and related services.
The dual diagnosis network was invited to participate in the Primary Care Mental Health Review Day review for prison services inLeeds. Prison services are keen to engage in the network and hopefully will be getting involved soon.
The Dual Diagnosis Project held another successful network event on the 14th March. Over 50 people attended, including commissioners, managers, practitioners and service users from across the city. Guest speaker, Mark Holland delivered a presentation on dual diagnosis case studies, Richard Bell provided an update of the Leeds Dual Diagnosis Project, Matthew Wilson outlined the dual diagnosis pathways which are due for implementation in LYPFT and Joe Alderdice spoke about the recently set up Dual Diagnosis Expert Reference Group. Power point presentations from the day are available on the website http://www.dual-diagnosis.org.uk/?cat=39
The networks monthly lead practitioner session focused on motivational interviewing was facilitated by the Jon McGowan from Leeds Addiction Unit, the session’s slides are available on the website http://www.dual-diagnosis.org.uk/?cat=12
The Dual Diagnosis Project is currently working in partnership with Joe Alderdice from Leeds Involving People to set up a Dual Diagnosis Expert Reference Group. The aim of this group is to capture the experience of service users to improve access to treatment, service delivery and inform future strategy. The first meeting was held on 9th February and was well attended by approximately 20 people.
We are continuing to service map all services currently represented in the network. This was last completed in 2008 with 20 services represented. With the continued growth of the project we now have 41 services directly involved in the network. The information from this will able available on the website soon to inform appropriate care pathways and referrals.
The Dual Diagnosis project has been working closely with Leeds Partnership Foundation Trust to develop dual diagnosis pathways for inpatient and community mental health services. These will be implemented soon and everyone accessing these services will be screened for substance use with appropriate interventions and care identified to meet their needs.
The network has planned its timetable of lead practitioner sessions for 2012, further information can be found in the practice development section of the website.
In collaboration with network partners a Common Mental Health Problems Joint Working Protocol has been agreed. This protocol aims to establish an effective treatment pathway between Community Drug Treatment Services and Primary Care Mental Health for substance using clients with common mental health problems.
The network held its final lead practitioner session of the year which was facilitated by the Krista Nilsen from the Self Harm Team.
The Dual Diagnosis Project is continuing to engage with the voluntary sector mental health agencies to ensure appropriate services are represented in the network we facilitate. Aspire, Genesis, Leeds Mind Wellbeing service, touchstone housing support team, Personality Disorder Clinical Network and 3 more Community Links Services have now joined the project.
The website is back up and running and will be updated over the next few months. Check out the useful links page for a selection of new websites that offer a variety of helpful information and resources.
The working group has begun an exercise to map services onto the dual diagnosis quadrant model to account for the increasing representation of services in the network. This will be available online soon to help match individuals to appropriate services after initial screening.
The referral protocol for referrals from forensics services and into local community drug treatment services has been signed off for another year in collaboration with Forensic services, Leeds Community Drugs Partnership, St Martin’s Heath Care, Leeds Addiction Unit and the Leeds Dual Diagnosis Project. Click here to view the protocol.
Another successful Dual Diagnosis Event was held by the Leeds Dual Diagnosis Project. Over 70 people attended, including commissioners, managers, practitioners and service users from across the city. Guest speaker, Mike Linnell, spoke about his work for Lifeline Publications and the current UKdrug scene. Delegates were also given the opportunity to network with other professionals and undertake group exercises. If you want more information about future events please contact Rich Bell at: firstname.lastname@example.org.
Progress, the National Consortium of Consultant Nurses in Dual Diagnosis and Substance Misuse, held a national conference inLeeds.
Congratulation to Richard Bell who will be covering the post of Dual Diagnosis Project Manger for the next 12 months. Rich starts on 1st October and can be contacted at email@example.com
The Dual Diagnosis Project Manager post is being advertised as a one year contract to cover maternity leave. Please visit the St. Anne’s website for further details at: www.st-annes.org.uk
Excellent news! The Dual Diagnosis project has been granted a further two year funding until March 2014.
The City Wide Harm Reduction Service provided two 2 hour Basic Drugs Awareness session to CMHT teams and adult inpatient teams. Both sessions were extremely well received and evaluated positively.
The Northern And North West Dual Diagnosis Group met in Leeds. A number of issues were discussed including the imminent release of the e-learning acute care package, training issues, older adults and dual diagnosis and the NTA payment by results pilot. For more information contact Karen at firstname.lastname@example.org.
The city-wide Harm Reduction Service continues to work successfully in partnership with the Assertive Outreach team, providing support and harm reduction interventions.
The Common Mental Health Problems Working Group has been established to address the needs of substance misusers with common mental health problems. Membership includes representatives from Leeds Community Drugs Partnership, Primary Care Mental Health and Leeds Addiction Unit. The aim is to create a joint work protocol to improve access to psychological therapies for substance misusers who are a traditionally excluded group.
An Inpatients Dual Diagnosis Steering Group and Working Group has been established to look at dual diagnosis issues within Becklin Centre, Newsam Centre and Rehabilitation And Recovery Services. A work plan has been agreed for the year which includes substance misuse screening and training issues.
Another successful Dual Diagnosis Development Day was held for the Leeds Dual Diagnosis Network. The day gave members an opportunity to network with other network members, hear about local research and identify the role of the network and the lead dual diagnosis professional. Case studies and pathways were also discussed. More information is available here.
The Northern and North West Dual Diagnosis Group met in Leeds. A number of issues were discussed including the Dual Diagnosis Toolkit, currently being updated by Mark Holland for Progress, barriers to substance misusers accessing primary care mental health services, the Out Your Head e-learning guides, training issues and the recovery model. For more information or if you are interested in joining the group contact the chair on: Karen.email@example.com
An evaluation has recently been carried out into the effectiveness of the Leeds Dual Diagnosis Network. Results are extremely positive and demonstrate the network’s effectiveness in allowing people to access good quality training, raising awareness of different treatment approaches, their advantages and disadvantages and developing adequate skills to deliver good quality treatment interventions. To view the executive summary click here. If you would like a copy of the full report please email Karen Pearse at:firstname.lastname@example.org
A follow-up to the event that took place in December has been organised. The event will take place on Wednesday 30th March, 9am – 1pm at St Chads Parish Centre in Headingley. For more details and to book a place please contact Karen Pearse at:email@example.com
A regional meeting was orgaised and held in Leeds with representives from Leeds, Bradford, Manchester and Wakefield invited. The meeting was extremely positive and the group intend to meet regulalry to offer each other support and advice, share good practice and collaborate on projects. If you are interested in joining the group or would like more information, please contact Karen Pearse at: firstname.lastname@example.org.
An event was held for the dual diagnosis network. Guest speakers attended from key services in Leeds and practitioners had the opportunity to network with other lead professionals. A follow-up session will be held in March 2011. For more information click here.
The Andrew Simms Centre holds a dual diagnosis conference in Leeds entitled “Co-Morbid Mental Illness and Substance Misuse – Improving The Delivery Of Effective Treatment”.
A referral protocol for referrals from forensics services and into local community drug treatment services has been written in collaboration with Forensic services, Leeds Community Drugs Partnership, St Martin’s Heath Care, Leeds Addiction Unit and the Leeds Dual Diagnosis Project. Click here to view the protocol.
Development work has begun with Primary Care Mental Health to further wider the dual diagnosis project.
The severe and enduring mental health care pathway has been written in collaboration between Leeds Community Drugs Partnership, St Martin’s Heath Care, Leeds Addiction Unit and the Leeds Dual Diagnosis Project and has been agreed and signed off at the SaferLeeds Pathways Implementation Group. To view the pathway click here.
The NICE draft Psychosis with Substance Use clinical guideline is out now for consultation. Follow this link where you will find all the instructions and documents needed to get involved and make your comments:http://guidance.nice.org.uk/CG/Wave15/8/Consultation/Latest
The successful partnership between Leeds Citywide Harm Reduction Service and the Assertive Outreach Team has been reviewed and the partnership work protocol has been updated. To view the protocol click here.
The schedule of practice developement sessions for network members has been recently updated. Click on Practice Development Sessions for more info.
A new Dual Diagnosis Project Manager has started. Karen Pearse will be working part time until 2012 to continue to drive forward the dual diagnosis plan and to build upon the excellent work so far.
A care pathways guide has been developed in consultation with numerous services in Leeds. This guide contains a brief directory of services that work with people with complex needs, and also proposes some decision rules and guidelines around: screening, referrals and care co-ordination.
The care co-ordination protocol developed by partner organisations in Leeds during 2007 was revised in order to reflect recent changes in care pathways and service developments. This revised protocol is intended to be used alongside the new care pathways guide. Both documents can be accessed via links at the top and top left of this web-page.
BME Consultation: Staff from 4 services have collaborated in a consultation with BME communities in Leeds around mental health and alcohol & drug use. The report has been completed in April 2009 and describes how participants define and understand mental health, perceptions around substance use in their communities, and insights about the barriers and facilitators to accessing services. The report can be downloaded by clicking here.
The University of Leeds has produced an evaluation report based on 10 interviews with service users and also information obtained through staff questionnaires. The report describes the experiences of service users who have come into contact with mental health, substance use and criminal justice services in Leeds. It also describes the results of a staff survey exploring role adequacy, role support, role legitimacy, motivation, professional self-esteem and job satisfaction. Enquiries: email@example.com
The first intake for the Dual Diagnosis Module in 2009 is currently underway. The second module this year will be running in September 2009. Contact Leeds Addiction Unit directly for enquiries.
NHS Leeds has entrusted the University of Leeds with carrying out a local evaluation relating to barriers and facilitators to Dual Diagnosis care. Ethical approval has recently been granted and a lead researcher from the University has initiated contact with and recruitment of partner services for this piece of work.
New Journal: Advances in Dual Diagnosis. Members of the Leeds DD Network have access to this via mutli-user subscription. Enquiries: firstname.lastname@example.org
The Care Services Improvement Partnership (CSIP) has published a National Themed Review on Dual Diagnosis. The report gives an overall picture of how Dual Diagnosis Strategy and work is developing across the UK. It also highlights key areas for development and recommendations.
Dual Diagnosis Conference held at The Carriageworks, Leeds on 19th May 2008.
Guest speakers discussed national policy, local strategy, current progress in Leeds and an outline of future work to be done.
Web-site is launched.
Second cohort of Lead Dual Diagnosis Practitioners completed training course.
Network members have access to monthly practice development forum.
Policy: A Care Co-ordination Protocol has been developed through consultation with service users and service providers between 2007 – 2008.
Network: The second cohort of Lead Dual Diagnosis practitioners has commenced training in February. This will broaden the Network to nearly 30 practitioners across mental heath and drug & alcohol services in Leeds.